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Petiste Graves
Mental Health Counselor in Detroit, Michigan
NPI 1841693207

Petiste Graves is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Petiste Graves practices in Detroit, MI. The NPI Number for Petiste Graves is 1841693207 and holds a License No. 6401011079 (Michigan).

The current practice location address for Petiste Graves is 2051 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-961-3221.

Location: 2051 W Grand Blvd, Detroit, MI, 48208-1105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841693207
Provider Name
Petiste Graves
Credential
Provider Entity Type
Individual
Gender
Female
Address
2051 W Grand Blvd, Detroit, MI, 48208-1105
Phone Number
313-961-3221
Fax Number
Provider Enumeration Date
09/30/2014
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
2051 W Grand Blvd
City
Detroit
State
Michigan
Zip
48208-1105
Phone Number
313-961-3221
Fax Number
person
Provider Business Mailing Address Details
Address
2051 W Grand Blvd
City
Detroit
State
Michigan
Zip
48208-1105
Phone Number
313-961-3221
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401011079 (Michigan)
Definition
Definition to come...
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